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When assessing whether a client is exhibiting adaptive responses to stressors, the nurse must recognize
which of the following?
,a. Adaptive responses are those that preserve the integrity of the individual.
b. Adaptive responses eliminate all stressors.
c. Adaptive responses can only be achieved through intensive therapy.
d. Adaptive responses are whatever the client perceives them to be. - correct ans:a. Adaptive responses
are those that preserve the integrity of the individual.
Why is stress management so important in one's overall health?
a. Stress-related disorders strengthen the immune system.
b. Sustained response to stress can increase vulnerability to a variety of diseases and maladaptive
coping responses.
c. Relaxation exercises are effective in preventing disorders such as depression and suicide.
d. All of the above. - correct ans:b. Sustained response to stress can increase vulnerability to a variety of
diseases and maladaptive coping responses.
Elena has just received a promotion on her job. She is very happy and excited about moving up in her
company, but she has been experiencing anxiety since receiving the news. The nurse accurately assesses
her primary appraisal of the situation as which of the following?
a. Benign-positive
b. Irrelevant
c. Challenging
d. Threatening - correct ans:c. Challenging
Which of the following statements by a client are examples of adaptive coping mechanisms?
a. "I like to take the edge off by having a few drinks."
b. "I need to pay more attention to my calorie intake because I gained 10 pounds in the last month."
c. "When the stress gets to be too much, I feel better after I kick the dog."
d. "I try to stay away from people because it's less stressful than arguing with everybody." - correct
ans:b. "I need to pay more attention to my calorie intake because I gained 10 pounds in the last month."
A client reports hearing on last night's evening news that 25 people were killed in a tornado in south
Texas, but appears to express no anxiety in response to this stressful situation. Which of these actions
by the nurse is a priority?
, a. Ask where the client lives.
b. Assess the client's perception about the relevance of this event.
c. Encourage the client to use adaptive coping skills to help others through this tragedy.
d. Ask where the client grew up. - correct ans:b. Assess the client's perception about the relevance of
this event.
A client regularly develops nausea and vomiting when she is faced with a stressful situation. Which of
the following should be considered when attempting to identify predisposing factors associated with
Cindy's response? (Select all that apply.)
a. Identify what happened right before she had the most recent episode of nausea and vomiting.
b. Consider genetic influences.
c. Identify any existing physical conditions that might make the client more vulnerable to respond in this
way.
d. Explore past experiences that may have resulted in this becoming a learned response. - correct ans:b.
Consider genetic influences.
c. Identify any existing physical conditions that might make the client more vulnerable to respond in this
way.
d. Explore past experiences that may have resulted in this becoming a learned response.
A client comes to the mental health clinic with reports of anxiety and depression. Regarding the
transactional model of stress and adaptation, which of the following are important nursing actions when
assessing his complaints? (Select all that apply.)
a. Evaluate the client's perception of precipitating events.
b. Ask the client about past stressors and degree of positive coping abilities.
c. Assess the client's existing social supports.
d. Evaluate the client's physical strength.
e. Monitor the client's temperature. - correct ans:a. Evaluate the client's perception of precipitating
events.
b. Ask the client about past stressors and degree of positive coping abilities.
c. Assess the client's existing social supports.